<?php session_start();
 include('SVsystem/config/dbconfig.php');
 include('SVsystem/class/formulario.php');
 include('SVsystem/config/dominio.php');
 
 
 $_SESSION['IDTIPO']='art';
 $_SESSION['IDART'] = $_REQUEST['id'];
 
 	$tool = new formulario('db');
	
	
	
	
	    

?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.1//EN"
	"http://www.w3.org/TR/xhtml11/DTD/xhtml11.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en">
<head>
	<meta http-equiv="Content-type" content="text/html; charset=utf-8">
	<title>Solicitud de Cotización</title>
	<link rel="stylesheet" href="estilo.css" type="text/css" media="screen" title="no title" charset="utf-8">
<!--[if IE]> <link href="ie-shit.css" rel="stylesheet" type="text/css"> <![endif]-->
	<link rel="stylesheet" href="/SVscripts/slimbox2/slimbox2.css" type="text/css" media="screen" title="no title" charset="utf-8">
<link rel="stylesheet" href="forms.css" type="text/css" media="screen" title="no title" charset="utf-8">

<script type="text/javascript" src="SVsystem/js/utils.js"></script>

<script type="text/javascript" src="SVsystem/js/ajax.js"></script>
	

<meta name="description" lang="es" content="solicitud de cotizacion" />
	<meta name="keywords" content="solicitud cotizacion" />
</head>
<body>
<div id="wrapper">
	<?php include('SVG-header.php'); ?>

<div id="tapatope"></div>
	<div id="contenido">
		
		<div id="centro">
			
<h1>Solicitud de Cotización</h1>
<p>xxxx</p>




<div id="formulario">
<form id="form" name="form1" method="post" action="emailer.php" title="Formulario">


<h2 class="h2subtitulo">Sus Datos</h2>
<label><span>Nombre</span>
<input name="nombre" type="text" id="nombre" size="35" />
</label>

<label><span>Teléfonos </span>
<input name="telefono" type="text" id="telefono" size="30" />
</label>

<label><span>Email </span>
<input name="email" type="text" id="email" size="35" />
</label>


<label id="localidad"><span>¿De dónde nos escribe?</span>
<input name="localidad" type="text" id="localidad" value="ciudad, pais" size="30" Onmouseover="clearText(this)" Onmouseout="if (this.value == '') {this.value = 'ciudad, pais';}"/>


</label>
<div id="separador"></div>

<h2 class="h2subtitulo">Datos del Remitente</h2>



<label><span>País</span>

<select name="remitentep" id="remitentep">
<option selected="selected">United States</option>
<option value="UK">UK</option>

<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antigua">Antigua</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>

<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Barbuda">Barbuda</option>

<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire">Bonaire</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>

<option value="Virgin islands">British Virgin isl.</option>
<option value="Brunei">Brunei</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman isl">Cayman Islands</option>

<option value="Central African Rep">Central African Rep.</option>
<option value="Chad">Chad</option>
<option value="Channel isl">Channel Islands</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Colombia">Colombia</option>
<option value="Congo">Congo</option>
<option value="cook isl">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>

<option value="Croatia">Croatia</option>
<option value="Curacao">Curacao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>

<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Faeroe isl">Faeroe Islands</option>
<option value="Fiji">Fiji</option>

<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Gemany">Germany</option>
<option value="Ghana">Ghana</option>

<option value="Gibraltar">Gibraltar</option>
<option value="GB">Great Britain</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>

<option value="Guinea Bissau">Guinea Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>

<option value="Irak">Irak</option>
<option value="Iran">Iran</option>
<option value="Ireland">Ireland</option>
<option value="Northern Ireland">Ireland, Northern</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Ivory Coast">Ivory Coast</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>

<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Liberia">Liberia</option>
<option value="Liechtenstein">Liechtenstein</option>

<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>

<option value="Malta">Malta</option>
<option value="Marshall isl">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>

<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar/Burma</option>
<option value="Namibia">Namibia</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>

<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>

<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>

<option value="Rwanda">Rwanda</option>
<option value="Saba">Saba</option>
<option value="Saipan">Saipan</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Scotland">Scotland</option>
<option value="Senegal">Senegal</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>

<option value="Slovac Republic">Slovak Republic</option>
<option value="Slovenia">Slovenia</option>
<option value="South Africa">South Africa</option>
<option value="South Korea">South Korea</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>

<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Trinidad-Tobago">Trinidad-Tobago</option>
<option value="Tunesia">Tunisia</option>

<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="U.S. Virgin isl">U.S. Virgin Islands</option>
<option value="USA">U.S.A.</option>
<option value="Uganda">Uganda</option>
<option value="United Kingdom">United Kingdom</option>
<option value="Urugay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>

<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City">Vatican City</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Wales">Wales</option>
<option value="Yemen">Yemen</option>
<option value="Zaire">Zaire</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>

</select>


</label>

<label><span>Ciudad</span>
<input name="remitentec" type="text" id="remitentec" value="" size="30"  />
</label>


<label><span>Estado / Provincia</span>
<input name="remitentee" type="text" id="remitentee" value="" size="30"  />
</label>

<label><span>Código Postal</span>
<input name="remitentez" type="text" id="remitentez" value="" size="10"  />
</label>


<div id="separador"></div>




<h2 class="h2subtitulo">Datos del Destinatario</h2>



<label><span>País</span>
<select name="destinop" id="destinop">
<option selected="selected">United States</option>
<option value="UK">UK</option>

<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antigua">Antigua</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>

<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Barbuda">Barbuda</option>

<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire">Bonaire</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>

<option value="Virgin islands">British Virgin isl.</option>
<option value="Brunei">Brunei</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman isl">Cayman Islands</option>

<option value="Central African Rep">Central African Rep.</option>
<option value="Chad">Chad</option>
<option value="Channel isl">Channel Islands</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Colombia">Colombia</option>
<option value="Congo">Congo</option>
<option value="cook isl">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>

<option value="Croatia">Croatia</option>
<option value="Curacao">Curacao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>

<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Faeroe isl">Faeroe Islands</option>
<option value="Fiji">Fiji</option>

<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Gemany">Germany</option>
<option value="Ghana">Ghana</option>

<option value="Gibraltar">Gibraltar</option>
<option value="GB">Great Britain</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>

<option value="Guinea Bissau">Guinea Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>

<option value="Irak">Irak</option>
<option value="Iran">Iran</option>
<option value="Ireland">Ireland</option>
<option value="Northern Ireland">Ireland, Northern</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Ivory Coast">Ivory Coast</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>

<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Liberia">Liberia</option>
<option value="Liechtenstein">Liechtenstein</option>

<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>

<option value="Malta">Malta</option>
<option value="Marshall isl">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>

<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar/Burma</option>
<option value="Namibia">Namibia</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>

<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>

<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>

<option value="Rwanda">Rwanda</option>
<option value="Saba">Saba</option>
<option value="Saipan">Saipan</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Scotland">Scotland</option>
<option value="Senegal">Senegal</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>

<option value="Slovac Republic">Slovak Republic</option>
<option value="Slovenia">Slovenia</option>
<option value="South Africa">South Africa</option>
<option value="South Korea">South Korea</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>

<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Trinidad-Tobago">Trinidad-Tobago</option>
<option value="Tunesia">Tunisia</option>

<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="U.S. Virgin isl">U.S. Virgin Islands</option>
<option value="USA">U.S.A.</option>
<option value="Uganda">Uganda</option>
<option value="United Kingdom">United Kingdom</option>
<option value="Urugay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>

<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City">Vatican City</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Wales">Wales</option>
<option value="Yemen">Yemen</option>
<option value="Zaire">Zaire</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>

</select>
</label>

<label><span>Ciudad</span>
<input name="destinoc" type="text" id="destinoc" value="" size="30"  />
</label>


<label><span>Estado / Provincia</span>
<input name="destinoe" type="text" id="destinoe" value="" size="30"  />
</label>

<label><span>Código Postal</span>
<input name="destinoz" type="text" id="destinoz" value="" size="10"  />
</label>


<div id="separador"></div>




<h2 class="h2subtitulo">Datos de la  Carga</h2>

<label><span>Peso</span>
<input name="peso" type="text" id="peso" value="" size="10"  />

</label>

<label><span>Unidad</span>
<select name="unidad" id="unidad">
<option value="Kilos">Kilos</option>
<option value="Libras">Libras</option>
</select>
</label>


<label><span>Contenido</span>
<input name="contenido" type="text" id="contenido" value="" size="35"  />

</label>





<label><span>Número de Piezas</span>
<input name="piezas" type="text" id="piezas" value="" size="10"  />

</label>





<label><span>Tipo de Transporte Deseado</span>
<select name="tipo" id="tipo">
<option value="Aereo">Aereo</option>
<option value="Maritimo">Maritimo</option>
<option value="Terrestre">Terrestre</option>
</select>
</label>










<div id="separador"></div>








<label class="diferente"><span>Descripción de la Mercancía</span>
<textarea name="comment" cols="40" rows="3" id="comment"></textarea>
</label>

<div id="separador"></div>


<label><span>¿Cómo supo de Oncargo?</span>
<input name="referencia" type="text" id="referencia" value="" size="35"  />

</label>

<div id="separador"></div>




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</div>

<img id="captcha" src="/securimage/securimage_show.php" alt="CAPTCHA Image"  style="float:none;"/><br>
<a href="#" onClick="document.getElementById('captcha').src = '/securimage/securimage_show.php?' + Math.random(); return false" title="Recargar código si no se entiende!"><img src="securimage/images/refresh.gif" width="16" height="16" border="0" style="float:none;"></a><br>

<input type="text" name="captcha_code" size="10" maxlength="6" style="display:inline-block!important; float:none!important;" />
</div>
<!--/ CAPTCHA CODE-->




<div id="divformboton">
<input type="submit" name="submit" id="submit" value="Enviar Información"  title="Enviar información"/>
</div>
</form>


</div>








			
		</div>
		<div id="derecha">
			
 <?php // include ("SVG-loginbox.php")?>


				<div  class="banners">
					<?php include('SVG-banners.php'); ?>
				</div>		
		</div>
	</div>


<div id="tapabottom"></div>

<?php include('SVG-footer.php'); ?>

</body>
</html>